在光学指导的横支气管肺活检后,肺胸炎的预测性风险因素
B H Ng1, H J Low2, N A Nuratiqah3
1Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz, Faculty of Medicine, Department of Medicine, Respiratory Unit, Kuala Lumpur, Malaysia. ngboonhau@hotmail.com.
The Medical journal of Malaysia
|December 30, 2023
概括
光学指导的横支气管肺活检 (FG-TBLB) 的肺胸病发病率较低. 上半叶活检增加了这种风险,因此建议对此程序保持谨慎和规划.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 胸部外科手术 胸部外科手术
背景情况:
- 光学引导的横支气管肺活检 (FG-TBLB) 是对周边肺病变和扩散性肺病的标准诊断程序.
- 识别FG-TBLB相关肺胸病的风险因素对于预防性管理和患者安全至关重要.
研究的目的:
- 为了确定与FG-TBLB相关的肺胸部相关的患者和程序风险因素.
- 为了告知临床实践和提高FG-TBLB程序期间的安全性.
主要方法:
- 对157名接受FG-TBLB治疗的患者的数据进行了回顾性分析.
- 风险因素的评估,包括患者人口统计,活检位置,样本数量和CT模式.
- 进行了单变量和多变量逻辑回归分析,以确定肺胸的显著预测因子.
主要成果:
- 肺胸病的总发病率为7.6% (12/157名患者),其中11人需要胸管干预.
- 女性的性别和上叶活检位置被确定为危险因素.
- 多变量分析证实,上叶活检显著增加了肺胸部风险 (OR 0.120; p = 0.046).
结论:
- FG-TBLB与肺胸部整体发病率较低有关.
- 上半叶活检代表了肺胸炎的重要危险因素.
- 临床医生应谨慎行事,考虑其他活检部位,并在上叶进行FG-TBLB时确保充分准备.
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